HomeMy WebLinkAboutPermit Plumbing 2009-8-6
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CITY OF SPRINGFIELD
Building/CQmbination Permit
I'
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-01l43
ISSUED: 0'8/06/2009
'APPLIED: 08/06/2009
EXPIRES: 02/06/2010
VALUE:
Status
Issued
SITE ADDRESS: 1914 5TH ST 8
ASSESSOR'S PARCEL NO,: 1703262402800
Springfield TYPE OF WORK: PluD\bing Only
TYPE OF USE:
PROJECT DESCRIPTION: Bath remodel
Owner: CHASE INVESTMENTS LLC
Address: 969 MCKENZIE CREST DR
SPRINGFIELD OR 97477
I CON:RAC!OR INFO~ATION I
Contractor Type
Plumbing
License
158295
Contractor
SHAD'CHASAN SURRETT
,# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING, INFORMATION I
, '{OU to
# 'S." .~qlllleS 'I't'{ ,
, or"c.,oJI. tO~I,e~: 018(101\ Uti I
^'l-R2NTION, do Height,'of' StructiIreset \Olt\1
r\\ ' - \ClS au.... , 1"\I\e~ i:::I.\V 0"\
\ol\oW lU ~ C nte:yp-e'OfiHeat:OJ\R 95'2-0 -
No~Ba\\On 0~1_oyate\\-'Typ~r o\\\1e lules b'{ ,
in OJ\R 95'2- a'{ c~anife'fY~\~:~\18 telep\1One
0090, , YOU;:' Ce\I:J,nergplp1~~:,iN Notilica\\On
calling \~ t\1lSiWiilkjfd,B~JI!!Lng\), n/a
_"",hel ,_ 1.RO\h'" '
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
Expiration Date
1
02/14/20 I 0
Phone
541-741-3553
Lot Siz~:
Sq Ft 1St Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
, REQUIRED PARKING
Total:
Handicapped:
Compact:
.
I PUBLIC IMPROVEMENTS I W "'iX'\:; \N~:a\'
,,~\~'C. ' ,,"I ~ \'
"I'\CX,'. ,'~\.\. t:I' "1'~\Qew31 ~pe:
"101 ' ,'\'i 'O,\l" 'iX'\" 'ICIl I'
I" \'OI''C.\'-.W\ 0 \)~O'C.'" B[I,~\)fio"#lrsPouts/Drains:
'iX' WJ\'-.\lt. O\'-. \'0 r>: '
[I,\)'i N\t.~c,'C.O 'C.\'-.\()O. '
c,O\'J\\ 'Oil O[l,'{ I'
t>.~'{'\
Street Improvements:
Storm Sewer AyaHable:
Spedallnstruction:
Notes:
I V ~Iu~tion Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee 1 of 2
Value.
Date Calculated
->~~s:ti/1l;;?;I;:I,\;l!I'RF,
~
it
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plunibing
Amount Paid
Date Paid
$6,96
$2,90
$38.00
$20.00
8/6/09
8/6/09
8/6/09
8/6/09
'Total Amount Paid
$67,86
I Plan Reviews I
CITY OF SPRINtJ1'lJtLD .
,
Building/C~mbination Permit
PERMIT NO: COM2009-01143
ISSUED: 08/06/2009
APPLIED: 08/06/2009
EXPIRES: 02/06/2010
VALUE:
Receipt Number
t
2200900000000000886
2200900000000000886
220~900000000000886
2200900000000000886
To Request an in'spection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested at'ter 7:00 a.m. willl1be made the following
work day.
I Refluired Insnections I
Rough Plumbing: Prior to cover and including required testing,
Shower Pan, Prior to covering and including required testing,
Final Plumbing: When all plumbing work is complete,
By signature, I state and agree, that I have carefully examined the completed application and do h~reby certify that all
,information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield ,and the Laws of the State of Oregon pertaining to the w~.rk described herein, and
that NO OCCUPANCY will be made of any siructure without permission of the Community Services Division, Building Safety'
I further certify that only contractors and employees who are in compliance with ORS 701.005 will'be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit rd is located at the front of the property, and the approved set of plans will remain on the site at all
~~ng 0 trc'~__ g-!0~fj
----' , I /
Owner or Contractors Signatnre Date
Paee 2 of 2
22~ Fink Street
Springfield, Oregon 97477
541-726-3759 Phone
,
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-01 ]43
COM2009-01143
COM2009-0] 143
COM2009-0]]43
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200900000000000886
,
Date: 08/96/2009
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ ]2% State Surcharge
Paid By .
THOMAS STlEGELER
Item Total:
Check Number Authorization I!
Received By Batch Number Number How 'Received
djb
]083
In Person
Paym~nt Total:
Page 1 of 1
10:02:33AM
Amount Due
38,00
20,00
2,90
6,96
$67,86
Amount Paid
$67,86
$67,86
8/6/2009